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Organization
ASTRONUAT SWAGG LLC
Active
Organization
ASTRONUAT SWAGG LLC
Active
Other names
Thinking Above Average
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTNEY JACOBS (DIRECTOR OF OPERATIONS)
(409) 225-8383
Entity
Organization
Contact information
Practice address
1110 CALDER ST STE 130, BEAUMONT, TX 77701-1777
(409) 225-8383
Mailing address
2415 AVENUE A, NEDERLAND, TX 77627-6013
(409) 225-8383
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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